Respiratory

Question 1

Solutions to High Pressure Alarms

Answer 1

High pressure alarms are triggered by increased resistence so look for obstructions
1. Kinks
2. Condensation
3. Mucus plug (turn or ask pt to cough, if doesnt work suction)

Question 2

Solutions to Low Pressure Alarms

Answer 2

Low pressure alarms are triggered by decreased resistance.
1. Main tubing disconnected
2. 02 sensor disconnected
(reconnect, unless tubing on floor. If it is bag pt and call RT)

Question 3

What type of heart failure can be caused by pulmonary hypertension

Answer 3

R sided HF (ascites, jugular distention, edema)

Question 4

What is COPD and S/S

Answer 4

Emphysema (damaged/destroyed alveoli) causing air to be trapped and overinflation of lungs.
S/S:
- dyspnea
- chronic cough with mucus (from inflammation)
- clubbing

Question 5

What type of breathing eliminates CO2

Answer 5

Pursed lip breathing

Question 6

Pulmonary Embolism

Answer 6

Blood clot, fat, air, amniotic fluid blocking an artery in the lung

Question 7

Pulmonary Effusion

Answer 7

Build up of fluid in pleural space. Happens secondary to other conditions such as: HF, nephrotic syndrome, pneumonia, malignancy

Question 8

Tension Pneumothorax (S/S)

Answer 8

Closed pneumothorax, air can get in but cant get out. Causes lung collapse
S/S:
- tracheal deviation, hypoxemia, unilateral chest wall expansion, HOTN, decreased CO, restless

Question 9

Acute Respiratory Distress Syndrome and Causes

Answer 9

Progressive lung failure seen post lung injury or massive multi organ disease, causing swelling and destruction of alveoli
causes:
- Acute pancreatitis
- infection
- pneumonia
- aspiration
- burns/ trauma
- submersion injury

Question 10

Tx for ARDS

Answer 10

• O2
• fluid restriction
• Vent with Positive end expiratory pressure
• Prone position
• Enteral Nutrition